Bill > A01360

This bill amends the New York public health law to expand contract coverage requirements for health care providers after their contract with a health plan is terminated or not renewed. Specifically, the bill extends the mandatory continuation period from two months to one hundred twenty days, during which both parties must continue to abide by the original contract's terms, including reimbursement rates. Health plans must notify enrollees within fifteen days of the start of this extended period about any potential changes resulting from the contract termination. The bill allows the commissioner of health to waive this requirement if the contract is being terminated "for cause," and it does not apply if both parties mutually agree in writing to the termination and provide enrollees with at least thirty days' advance notice. The legislation aims to provide more stability and continuity of care for patients when health care providers and health plans change their contractual relationships, ensuring that patients can continue to receive care from their current providers for an extended period during contract transitions.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A1360